Sunlit rustic living room with wooden walls, cozy furnishings, and a fireplace for a warm ambiance.

Our story

How we got here

The people, the place and the promise behind every day of care.

Our story

How Backbone Creek House came to be

A caregiver bringing morning tea
Chapter 01

A social worker's question

For twenty years at the hospital in Burnet, Ruth Ann Kowalski asked families the same thing: tell me about your mother. Too often, she was the only one who asked.

A resident reading with her coffee
Chapter 02

The limestone house on the creek

In 2005 she found a 1950s limestone house on Backbone Creek with a long kitchen, two porches and pecan trees older than the town's oldest residents. She saw fourteen rooms and a table big enough for everyone.

A resident reading the paper on the bench
Chapter 03

The first life-story book

Our first resident was a retired schoolteacher from Kingsland. Ruth Ann wrote down her stories in a spiral notebook so the caregivers would know her. Every resident since has had one.

A resident and his daughter walking with coffee mugs
Chapter 04

A team that stays

Our caregivers average eleven years with us. They know the stories because they have heard them told, over and over, at the long pine table.

A resident carrying seedlings to the garden
Chapter 05

The creek porch

In 2014 we added a second porch facing the water. It is where families sit in the afternoon, and where many of our hardest conversations have turned gentle.

  • 14residents in private rooms
  • 2006the year Ruth Ann opened the doors
  • 11years, the average tenure of our caregivers
  • 1creek, two porches and a lot of rocking chairs

Ratings & recognition · sample

  • Burnet County Readers' Choice · Best Senior Care (sample)
  • Marble Falls Chamber · Small Business Award (sample)
  • Family survey · 99% would recommend (sample)
  • Licensed assisted living · Texas HHSC

Come tell us their story.

A tour takes about an hour and ends at the kitchen table with coffee. Call or text Ruth Ann, or choose a time below.